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purchased dis. ins. on mortgage and was then diagnosed with cancer, how to get them to cover?

shortly after purchasing disability ins. i was diagnosed with testicular and lymphatic cancer that was very aggressive. while in chemotherapy I contacted the insurance co. to claim. I was totally involved in staying alive long enough to beat this cancer and was obviously seriously unable to keep track of finances and such. My wife did not realize this was one of the few things we had any coverage for and therefor did not deal with it. It has been almost two years and i just recently realized we had not recieved any benifits from this insurance during my year long fight with cancer. what can i do to get them to pay? The insurance was purchased with the mortgage and I thought that even though the claim is made that the insurance is a seperate issue the mortgage company is the legal servicer of all matters on the mortgage, such as ins. taxes if there is an escrow acct. etc.?

6 Answers

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  • ?
    Lv 7
    1 decade ago
    Favorite Answer

    All you need to do is call them. Ask if they received the claim, and what the status is.

  • 1 decade ago

    I see three major problems:

    1. Your disability occured within the first two years of your coverage. This means the insurer has the right to investigate your health history to make sure you provided all known health history on your application. If it finds you misrepresented your health, it can rescind the coverage and return your premiums. You would then have no disability coverage.

    2. Your disability may be considered a pre-existing condition. If you had any symptoms or any initial workup prior to the effective date, your condition is pre-existing. The date of diagnosis isn't always the deciding factor in determining whether a condition pre-existed the effective date.

    3. The vast majority of disability policies require a claimant to file a claim within a specified period, usually 90 days, from the start of a disability. If this is a requirement, it must be in the policy. A claim filed outside this timeliness period can be denied. Check the wording of your Certificate of Insurance for this provision. Many times, the provision will also say that the company must consider extenuating circumstances which prevented the claim from being filed timely. I suggest you submit a letter along with your claim that completely explains why the claim wasn't filed right away.

    I advise you to contact the insurance department at your mortgage company and request a claim form. Then, go ahead and file your claim. An attorney is not needed at this time, as was suggested by another answerer. It's a bit premature for that. If your claim is denied, file a complaint with your state's insurance commissioner, which will conduct an investigation to ascertain the legality of the denial.

    FYI, most mortgage policies require the insurer to pay benefits to the mortgage company.

    I hope this helps.

  • 1 decade ago

    Different provinces/states have different regulations regaring when an insurance company has to pay, etc. This often has a lot to do with WHEN the claim is filed. Some areas require that claims be filed within 90 days, others within 1 year. Your best bet is to check with your insurance company. If you are still not satisfied, check with the state/provincial review board to ensure that your company is following the guidelines as set out for them in your area. For anyone else out there, I'd suggest doing up an information guide for your family that details all the benefits / provisions you have for in case of emergency. Then if a situation like this arises, you can refer to your information guide and make claims right away (so you don't run the risk of forgetting and losing benefits).

    Source(s): I work in the insurance industry but cannot comment on your particular case since I am unsure of where you live or which company you deal with.
  • 1 decade ago

    Considering the amount of potential money this involves, you should seriously consider talking to an attorney who can look through your insurance and mortgage contracts and advice you about your legal position.

    It doesn't make any sense to pose this as a general question. It's going to depend on the specific policy you signed with and the laws of the state you're in. Good luck.

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  • 1 decade ago

    At the time of your disability, as soon as you knew you would be unable to work,you or your wife should have contacted the mortgage company to let them know. You would have had to cover the first month of the mortgage and then the policy would have kicked in.

    Source(s): Personal experience
  • ?
    Lv 4
    4 years ago

    "shortly after buying incapacity ins. i grow to be clinically determined with testicular and lymphatic maximum cancers that grow to be very aggressive" Over right here, you stated that you acquire incapacity coverage yet you shrunk maximum cancers. incapacity coverage(loss of the two limbs) kicks in once you're disabled. serious ailment coverage is the only that would desire to pay you once you're ill. till your disease led to incapacity you is genuinely not waiting to declare. examine your coverage coverage checklist heavily first to make valuable in case you ought to declare. acquire help from an consultant in case you don't comprehend the words. A loan coverage with incapacity will repay your place on the instant as quickly as clinically determined and the coverage will lapse. For all matters, please examine with a economic consultant or your servicing agent first.

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